The AdHOC study of older adults’ adherence to medication in 11 countries

BACKGROUND: Compared with the resources expended developing, evaluating and making clinical decisions about prescribing medication, we know little about what determines whether people take it. Older adults are prescribed more medication than any other group. Poor adherence is a common reason for nonresponse to medication. OBJECTIVES: To investigate cross-nationally the impact of demographic, psychiatric (including cognitive), physical health, behavioural and medication factors on adherence to medication in older adults. METHODS: Researchers interviewed 3881 people over 65 who receive home care services using a structured interview at participants’ places of residence in eleven countries. The main outcome measure was the percentage participants not adherent to medication. RESULTS: 12.5% (n= 456) of people reported they were not fully adherent to medication. Non-adherence was predicted by problem drinking (OR=3.6), not having a doctor review medication (OR=3.3), dementia (OR=1.4 for every one point increase in impairment), good physical health (OR=1.2), resisting care (OR=2.1) being married (OR=2.3) and living in the Czech Republic (OR=4.7) or Germany (OR=1.4). CONCLUSION: People, who screen positive for problem drinking and with dementia, often undiagnosed are less likely to adhere to medication. Therefore doctors should consider dementia and problem drinking when prescribing for older adults. Interventions to improve adherence in older adults might be more effective if 4 targeted at these groups. It is possible that medication review enhances adherence, by improving the patient-doctor relationship, or by emphasising the relevance of medications

Improved dd+4^4He potentials by inversion, the tensor force and validity of the double folding model

Improved potential solutions are presented for the inverse scattering problem for $d$+$^4$He data. The input for the inversions includes both the data of recent phase shift analyses and phase shifts from RGM coupled-channel calculations based on the NN Minnesota force. The combined calculations provide a more reliable estimate of the odd-even splitting of the potentials than previously found, suggesting a rather moderate role for this splitting in deuteron-nucleus scattering generally. The approximate parity-independence of the deuteron optical potentials is shown to arise from the nontrivial interference between antisymmetrization and channel coupling to the deuteron breakup channels. A further comparison of the empirical potentials established here and the double folding potential derived from the M3Y effective NN force (with the appropriate normalisation factor) reveals strong similarities. This result supports the application of the double folding model, combined with a small Majorana component, to the description even of such a loosely bound projectile as the deuteron. In turn, support is given for the application of iterative-perturbative inversion in combination with the double folding model to study fine details of the nucleus-nucleus potential. A $d$-$^4$He tensor potential is also derived to reproduce correctly the negative $^6$Li quadrupole moment and the D-state asymptotic constant.Comment: 22 pages, 12 figures, in Revte

The Importance of DNA Repair in Tumor Suppression

The transition from a normal to cancerous cell requires a number of highly specific mutations that affect cell cycle regulation, apoptosis, differentiation, and many other cell functions. One hallmark of cancerous genomes is genomic instability, with mutation rates far greater than those of normal cells. In microsatellite instability (MIN tumors), these are often caused by damage to mismatch repair genes, allowing further mutation of the genome and tumor progression. These mutation rates may lie near the error catastrophe found in the quasispecies model of adaptive RNA genomes, suggesting that further increasing mutation rates will destroy cancerous genomes. However, recent results have demonstrated that DNA genomes exhibit an error threshold at mutation rates far lower than their conservative counterparts. Furthermore, while the maximum viable mutation rate in conservative systems increases indefinitely with increasing master sequence fitness, the semiconservative threshold plateaus at a relatively low value. This implies a paradox, wherein inaccessible mutation rates are found in viable tumor cells. In this paper, we address this paradox, demonstrating an isomorphism between the conservatively replicating (RNA) quasispecies model and the semiconservative (DNA) model with post-methylation DNA repair mechanisms impaired. Thus, as DNA repair becomes inactivated, the maximum viable mutation rate increases smoothly to that of a conservatively replicating system on a transformed landscape, with an upper bound that is dependent on replication rates. We postulate that inactivation of post-methylation repair mechanisms are fundamental to the progression of a tumor cell and hence these mechanisms act as a method for prevention and destruction of cancerous genomes.Comment: 7 pages, 5 figures; Approximation replaced with exact calculation; Minor error corrected; Minor changes to model syste

Dual Response Models for the Fractional Quantum Hall Effect

It is shown that the Jain mapping between states of integer and fractional quantum Hall systems can be described dynamically as a perturbative renormalization of an effective Chern-Simons field theory. The effects of mirror duality symmetries of toroidally compactified string theory on this system are studied and it is shown that, when the gauge group is compact, the mirror map has the same effect as the Jain map. The extrinsic ingredients of the Jain construction appear naturally as topologically non-trivial field configurations of the compact gauge theory giving a dynamical origin for the Jain hierarchy of fractional quantum Hall states.Comment: 8 pages LaTe

Hall effect and conduction anisotropy in the organic conductor TMTSF2PF6

Long missing basic experiments in the normal phase of the anisotropic electron system of TMTSF2PF6 were performed. Both the Hall effect and the ab'-plane conduction anisotropy are directly addressing the unconventional electrical properties of this Bechgaard salt. We found that the dramatic reduction of the carrier density deduced from recent optical data is not reflected in an enhanced Hall-resistance. The pressure- and temperature dependence of the b'-direction resitivity reveal isotropic relaxation time and do not require explanations beyond the Fermi liquid theory. Our results allow a coherent-diffusive transition in the interchain carrier propagation, however the possible crossover to Luttinger liquid behavior is placed to an energy scale above room temperature.Comment: 5 pages, 5 figures, to be published in Phys. Rev. Let

Adapting robot paths for automated NDT of complex structures using ultrasonic alignment

Automated inspection systems using industrial robots have been available for several years. The IntACom robot inspection system was developed at TWI Wales and utilizes phased array ultrasonic probes to inspect complex geometries, in particular aerospace composite components. To increase inspection speed and accuracy, off-line path planning is employed to define a series of robotic movements following the surface of a component. To minimize influences of refraction at the component interface and effects of anisotropy, the ultrasonic probe must be kept perpendicular to the surface throughout the inspection. Deviations between the actual component and computer model used for path-planning result in suboptimal alignment and a subsequent reduction in the quality of the ultrasonic echo signal. In this work we demonstrate methods for using the ultrasonic echo signals to adapt a robotic path to achieve a minimal variation in the reflected surface echo. The component surface is imaged using phased array probes to calculate a sparse 3D point cloud with estimated normal directions. This is done through a preliminary alignment path covering approximately 25% of the total surface to minimize the impact on overall inspection time. The data is then compared to the expected geometry and deviations are minimized using least-squares optimization. Compared to manual alignment techniques, this method shows a reduction in surface amplitude variation of up to 32%, indicating that the robot is following the surface of the component more accurately

Nuclear magnetic resonance probes for the Kondo scenario for the 0.7 feature in semiconductor quantum point contact devices

We propose a probe based on nuclear relaxation and Knight shift measurements for the Kondo scenario for the "0.7 feature" in semiconductor quantum point contact (QPC) devices. We show that the presence of a bound electron in the QPC would lead to a much higher rate of nuclear relaxation compared to nuclear relaxation through exchange of spin with conduction electrons. Furthermore, we show that the temperature dependence of this nuclear relaxation is very non-monotonic as opposed to the linear-T relaxation from coupling with conduction electrons. We present a qualitative analysis for the additional relaxation due to nuclear spin diffusion (NSD) and study the extent to which NSD affects the range of validity of our method. The conclusion is that nuclear relaxation, in combination with Knight shift measurements, can be used to verify whether the 0.7 feature is indeed due to the presence of a bound electron in the QPC.Comment: Published version. Appears in a Special Section on the 0.7 Feature and Interactions in One-Dimensional Systems. 16 page

Hepatocyte Growth Factor Receptor c-Met Instructs T Cell Cardiotropism and Promotes T Cell Migration to the Heart via Autocrine Chemokine Release

© 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)This study was funded by the British Heart Foundation (RG/09/002/2642 to F.M.M.-B.) and the Medical Research Council of the UK (G0901084 to F.M.M.-B.). ImageStream X was funded by the Wellcome Trust (101604/Z/13/Z). This work forms part of the research themes contributing to the translational research portfolio of Barts and the London Cardiovascular Biomedical Research Unit, which is supported and funded by the National Institute of Health Research

Convergence of the Optimized Delta Expansion for the Connected Vacuum Amplitude: Zero Dimensions

Recent proofs of the convergence of the linear delta expansion in zero and in one dimensions have been limited to the analogue of the vacuum generating functional in field theory. In zero dimensions it was shown that with an appropriate, $N$-dependent, choice of an optimizing parameter \l, which is an important feature of the method, the sequence of approximants $Z_N$ tends to $Z$ with an error proportional to ${\rm e}^{-cN}$. In the present paper we establish the convergence of the linear delta expansion for the connected vacuum function $W=\ln Z$. We show that with the same choice of \l the corresponding sequence $W_N$ tends to $W$ with an error proportional to ${\rm e}^{-c\sqrt N}$. The rate of convergence of the latter sequence is governed by the positions of the zeros of $Z_N$.Comment: 20 pages, LaTeX, Imperial/TP/92-93/5

The Importance of Satellite Quenching for the Build-Up of the Red Sequence of Present Day Galaxies

In the current paradigm, red sequence galaxies are believed to have formed as blue disk galaxies that subsequently had their star formation quenched. Since red-sequence galaxies typically have an early-type morphology, the transition from the blue to the red sequence also involves a morphological transformation. In this paper we study the impact of transformation mechanisms that operate only on satellite galaxies, such as strangulation, ram-pressure stripping and galaxy harassment. Using a large galaxy group catalogue constructed from the SDSS, we compare the colors and concentrations of satellites galaxies to those of central galaxies of the same stellar mass, adopting the hypothesis that the latter are the progenitors of the former. On average, satellites are redder and more concentrated than central galaxies of the same stellar mass. Central-satellite pairs that are matched in both stellar mass and color, however, show no average concentration difference, indicating that the transformation mechanisms affect color more than morphology. The color and concentration differences of matched central-satellite pairs are completely independent of the halo mass of the satellite galaxy, indicating that satellite-specific transformation mechanisms are equally efficient in haloes of all masses. This strongly favors strangulation as the main quenching mechanism for satellite galaxies. Finally, we determine the relative importance of satellite quenching for the build-up of the red sequence. We find that roughly 70 percent of red sequence satellite galaxies with a stellar mass of 10^9 Msun had their star formation quenched as satellites. This drops rapidly to zero with increasing stellar mass, indicating that a significant fraction of red satellites were already quenched before they became a satellite.Comment: 14 pages, 10 figures. Submitted for publication in MNRA